Individual provider Active NPI

Ivory Keona Jones-Jennings, PT, DPT

  • Physical Therapist
  • Apollo Beach, FL
National Provider Identifier
1093168197
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25953 Issued in FL
Practice address
5232 Moon Shell Dr
Apollo Beach, FL 33572-3522
Phone
(904) 536-7262
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25953 FL Primary

Addresses

Primary practice location

5232 Moon Shell Dr
Apollo Beach, FL 33572-3522

Mailing address

219 Flamingo Dr
#3312
Apollo Beach, FL 33572-7001
Phone (904) 536-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161201001479 FL Practitioner - Physical Therapist in Private Practice 5193005551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 4TH St NW
Ruskin, FL 33570-3952
Phone (813) 641-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Harmony Physical Therapy CurrentSince Jun 22, 2016 Accepting new patients

Locations

219 Flamingo Dr
Apollo Beach, FL 33572

207 4th St NW
Ruskin, FL 33570
Phone (813) 641-3900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1093168197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 FLAMINGO DR",
            "address_2": "#3312",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335727001",
            "telephone_number": "904-536-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 MOON SHELL DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723522",
            "telephone_number": "904-536-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-JENNINGS",
        "first_name": "IVORY",
        "middle_name": "KEONA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.